Organization
WENDY BLUMENTHAL, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDY BLUMENTHAL, PH.D. PH.D. (PRESIDENT)
(941) 745-5111
Entity
Organization
Contact information
Practice address
3823 E STATE ROAD 64, BRADENTON, FL 34208-9041
(941) 745-5111
(941) 745-5667
Mailing address
3823 E STATE ROAD 64, BRADENTON, FL 34208-9041
(941) 745-5111
(941) 745-5667
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
9317
FL
Other
Enumeration date
01/14/2008
Last updated
10/05/2016
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